Portal vein thrombosis occurs when a blood clot blocks the portal vein — the vessel that carries nutrient-rich blood from the intestines to the liver. This blockage can increase pressure within the portal system (portal hypertension) and, if untreated, may cause liver damage or serious complications. Early diagnosis and timely treatment are crucial to prevent severe outcomes.
When blood flow becomes obstructed, you may experience:
Several factors can increase the likelihood of developing a clot in the portal vein:
At GastroDoxs in Houston, we specialize in the diagnosis and treatment of portal vein thrombosis. Using advanced imaging, personalized anticoagulation plans, and continuous liver health monitoring, our dedicated team provides patient-centered care every step of the way. Don’t wait—book your appointment today to take charge of your vascular and liver health with compassionate, comprehensive support.
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Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.
Portal vein thrombosis is classified under the ICD-10 code K75.1, which is used for medical documentation, billing, and insurance purposes.
Doctors use imaging techniques such as Doppler ultrasound, CT scans, or MRI to visualize the portal vein and identify any blood clots present.
The initial treatment involves anticoagulant medications (blood thinners) to prevent clot progression. Further management depends on the size, location, and underlying cause of the clot.
Yes. Cirrhosis alters normal liver blood flow and increases the likelihood of clot formation within the portal vein.
The severity can vary. With prompt diagnosis and treatment, the outcome is generally positive. Long-term recovery depends on the underlying condition and how well the patient responds to therapy.
Maintaining an active lifestyle, eating a balanced diet, avoiding excessive alcohol, and managing liver disease or clotting disorders can significantly lower your risk.
Follow-up imaging—typically Doppler ultrasound—is recommended every 3 to 6 months to monitor liver health and confirm clot resolution.
Yes. If risk factors persist or anticoagulation therapy is discontinued prematurely, the clot may recur. Continuous monitoring and proper risk management are essential.
Most patients respond well to medical therapy alone. In rare cases, minimally invasive procedures such as stent placement or thrombolysis may be required. Open surgery is uncommon.
Look for a board-certified gastroenterologist or hepatologist experienced in vascular liver disorders. At GastroDoxs in Houston, our specialists offer advanced imaging and patient-centered treatment plans for portal vein thrombosis.
